Cardiovascular mortality during the COVID-19 pandemics in a large Brazilian city : a comprehensive analysis.
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UFOP |
dARK ID: | ark:/61566/0013000009zvw |
Texto Completo: | http://www.repositorio.ufop.br/jspui/handle/123456789/16799 https://doi.org/10.5334/gh.1101 |
Resumo: | Introduction: The impact of COVID-19 pandemics on cardiovascular diseases (CVD) may be caused by health system reorganization and/or collapse, or from changes in the behaviour of individuals. In Brazil, municipalities were empowered to define regulatory measures, potentially resulting in diverse effects on CVD morbimortality. Objective: To analyse the impact of COVID-19 pandemics on CVD outcomes in Belo Horizonte (BH), the sixth greater capital city in Brazil, including: mortality, mortality at home, hospitalizations, intensive care unit utilization, and in-hospital mortality; and the differential effect according to sex, age range, social vulnerability, and pandemic’s phase. Methods: Ecological study analysing data from the Mortality and Hospital Information System of BH residents aged ≥30 years. CVD was defined as in Chapter IX from ICD- 10. Social vulnerability was classified by a composite socioeconomic index as high, medium and low. The observed age-standardized rates for epidemiological weeks 10–48, 2020, were compared to the expected rates (mean of 2015–2019). Risk ratios (RiR) were analysed and 95% confidence intervals were calculated for all estimates. Population projected to 2020 for BH and its census tracts were used to calculate rates. Results: We found no changes in CVD mortality rates (RiR 1.01, 95%CI 0.96–1.06). However, CVD deaths occurred more at homes (RiR 1.32, 95%CI 1.20–1.46) than in hospitals (RiR 0.89, 95%CI 0.79–0.99), as a result of a substantial decline in hospitalization rates, even though proportional in-hospital deaths increased. The rise in home deaths was greater in older adults and in had an increasing gradient in those more socially vulnerable (RiR 1.45); for high (RiR 1.45), medium (RiR 1.32) and low vulnerability (RiR 1.21). Conclusion: The greater occurrence of CVD deaths at home, in parallel with lower hospitalization rates, suggests that CVD care was disrupted during the COVID-19 pandemics, which more adversely affected older and more socially vulnerable individuals, exacerbating health inequities in BH. |
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Cardiovascular mortality during the COVID-19 pandemics in a large Brazilian city : a comprehensive analysis.Cardiovascular diseasesHospitalizationSocial vulnerabilityIntroduction: The impact of COVID-19 pandemics on cardiovascular diseases (CVD) may be caused by health system reorganization and/or collapse, or from changes in the behaviour of individuals. In Brazil, municipalities were empowered to define regulatory measures, potentially resulting in diverse effects on CVD morbimortality. Objective: To analyse the impact of COVID-19 pandemics on CVD outcomes in Belo Horizonte (BH), the sixth greater capital city in Brazil, including: mortality, mortality at home, hospitalizations, intensive care unit utilization, and in-hospital mortality; and the differential effect according to sex, age range, social vulnerability, and pandemic’s phase. Methods: Ecological study analysing data from the Mortality and Hospital Information System of BH residents aged ≥30 years. CVD was defined as in Chapter IX from ICD- 10. Social vulnerability was classified by a composite socioeconomic index as high, medium and low. The observed age-standardized rates for epidemiological weeks 10–48, 2020, were compared to the expected rates (mean of 2015–2019). Risk ratios (RiR) were analysed and 95% confidence intervals were calculated for all estimates. Population projected to 2020 for BH and its census tracts were used to calculate rates. Results: We found no changes in CVD mortality rates (RiR 1.01, 95%CI 0.96–1.06). However, CVD deaths occurred more at homes (RiR 1.32, 95%CI 1.20–1.46) than in hospitals (RiR 0.89, 95%CI 0.79–0.99), as a result of a substantial decline in hospitalization rates, even though proportional in-hospital deaths increased. The rise in home deaths was greater in older adults and in had an increasing gradient in those more socially vulnerable (RiR 1.45); for high (RiR 1.45), medium (RiR 1.32) and low vulnerability (RiR 1.21). Conclusion: The greater occurrence of CVD deaths at home, in parallel with lower hospitalization rates, suggests that CVD care was disrupted during the COVID-19 pandemics, which more adversely affected older and more socially vulnerable individuals, exacerbating health inequities in BH.2023-06-26T20:04:50Z2023-06-26T20:04:50Z2022info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfBRANT, L. C. C. et al. Cardiovascular mortality during the COVID-19 pandemics in a large brazilian city: a comprehensive analysis. Global Heart, v. 17, n. 1, artigo e11, 2022. Disponível em: <https://globalheartjournal.com/article/10.5334/gh.1101/>. Acesso em: 11 out. 2022.2211-8179http://www.repositorio.ufop.br/jspui/handle/123456789/16799https://doi.org/10.5334/gh.1101ark:/61566/0013000009zvwThis is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC-BY 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See http://creativecommons.org/ licenses/by/4.0/. Fonte: PDF do artigo.info:eu-repo/semantics/openAccessBrant, Luisa Campos CaldeiraPinheiro, Pedro CisalpinoRibeiro, Antônio Luiz PinhoMachado, Ísis EloahCorrea, Paulo Roberto LopesSantos, Mayara Rocha dosSouza, Maria de Fátima Marinho deMalta, Deborah CarvalhoPassos, Valéria Maria de Azeredoengreponame:Repositório Institucional da UFOPinstname:Universidade Federal de Ouro Preto (UFOP)instacron:UFOP2024-11-10T21:40:44Zoai:repositorio.ufop.br:123456789/16799Repositório InstitucionalPUBhttp://www.repositorio.ufop.br/oai/requestrepositorio@ufop.edu.bropendoar:32332024-11-10T21:40:44Repositório Institucional da UFOP - Universidade Federal de Ouro Preto (UFOP)false |
dc.title.none.fl_str_mv |
Cardiovascular mortality during the COVID-19 pandemics in a large Brazilian city : a comprehensive analysis. |
title |
Cardiovascular mortality during the COVID-19 pandemics in a large Brazilian city : a comprehensive analysis. |
spellingShingle |
Cardiovascular mortality during the COVID-19 pandemics in a large Brazilian city : a comprehensive analysis. Brant, Luisa Campos Caldeira Cardiovascular diseases Hospitalization Social vulnerability |
title_short |
Cardiovascular mortality during the COVID-19 pandemics in a large Brazilian city : a comprehensive analysis. |
title_full |
Cardiovascular mortality during the COVID-19 pandemics in a large Brazilian city : a comprehensive analysis. |
title_fullStr |
Cardiovascular mortality during the COVID-19 pandemics in a large Brazilian city : a comprehensive analysis. |
title_full_unstemmed |
Cardiovascular mortality during the COVID-19 pandemics in a large Brazilian city : a comprehensive analysis. |
title_sort |
Cardiovascular mortality during the COVID-19 pandemics in a large Brazilian city : a comprehensive analysis. |
author |
Brant, Luisa Campos Caldeira |
author_facet |
Brant, Luisa Campos Caldeira Pinheiro, Pedro Cisalpino Ribeiro, Antônio Luiz Pinho Machado, Ísis Eloah Correa, Paulo Roberto Lopes Santos, Mayara Rocha dos Souza, Maria de Fátima Marinho de Malta, Deborah Carvalho Passos, Valéria Maria de Azeredo |
author_role |
author |
author2 |
Pinheiro, Pedro Cisalpino Ribeiro, Antônio Luiz Pinho Machado, Ísis Eloah Correa, Paulo Roberto Lopes Santos, Mayara Rocha dos Souza, Maria de Fátima Marinho de Malta, Deborah Carvalho Passos, Valéria Maria de Azeredo |
author2_role |
author author author author author author author author |
dc.contributor.author.fl_str_mv |
Brant, Luisa Campos Caldeira Pinheiro, Pedro Cisalpino Ribeiro, Antônio Luiz Pinho Machado, Ísis Eloah Correa, Paulo Roberto Lopes Santos, Mayara Rocha dos Souza, Maria de Fátima Marinho de Malta, Deborah Carvalho Passos, Valéria Maria de Azeredo |
dc.subject.por.fl_str_mv |
Cardiovascular diseases Hospitalization Social vulnerability |
topic |
Cardiovascular diseases Hospitalization Social vulnerability |
description |
Introduction: The impact of COVID-19 pandemics on cardiovascular diseases (CVD) may be caused by health system reorganization and/or collapse, or from changes in the behaviour of individuals. In Brazil, municipalities were empowered to define regulatory measures, potentially resulting in diverse effects on CVD morbimortality. Objective: To analyse the impact of COVID-19 pandemics on CVD outcomes in Belo Horizonte (BH), the sixth greater capital city in Brazil, including: mortality, mortality at home, hospitalizations, intensive care unit utilization, and in-hospital mortality; and the differential effect according to sex, age range, social vulnerability, and pandemic’s phase. Methods: Ecological study analysing data from the Mortality and Hospital Information System of BH residents aged ≥30 years. CVD was defined as in Chapter IX from ICD- 10. Social vulnerability was classified by a composite socioeconomic index as high, medium and low. The observed age-standardized rates for epidemiological weeks 10–48, 2020, were compared to the expected rates (mean of 2015–2019). Risk ratios (RiR) were analysed and 95% confidence intervals were calculated for all estimates. Population projected to 2020 for BH and its census tracts were used to calculate rates. Results: We found no changes in CVD mortality rates (RiR 1.01, 95%CI 0.96–1.06). However, CVD deaths occurred more at homes (RiR 1.32, 95%CI 1.20–1.46) than in hospitals (RiR 0.89, 95%CI 0.79–0.99), as a result of a substantial decline in hospitalization rates, even though proportional in-hospital deaths increased. The rise in home deaths was greater in older adults and in had an increasing gradient in those more socially vulnerable (RiR 1.45); for high (RiR 1.45), medium (RiR 1.32) and low vulnerability (RiR 1.21). Conclusion: The greater occurrence of CVD deaths at home, in parallel with lower hospitalization rates, suggests that CVD care was disrupted during the COVID-19 pandemics, which more adversely affected older and more socially vulnerable individuals, exacerbating health inequities in BH. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022 2023-06-26T20:04:50Z 2023-06-26T20:04:50Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
BRANT, L. C. C. et al. Cardiovascular mortality during the COVID-19 pandemics in a large brazilian city: a comprehensive analysis. Global Heart, v. 17, n. 1, artigo e11, 2022. Disponível em: <https://globalheartjournal.com/article/10.5334/gh.1101/>. Acesso em: 11 out. 2022. 2211-8179 http://www.repositorio.ufop.br/jspui/handle/123456789/16799 https://doi.org/10.5334/gh.1101 |
dc.identifier.dark.fl_str_mv |
ark:/61566/0013000009zvw |
identifier_str_mv |
BRANT, L. C. C. et al. Cardiovascular mortality during the COVID-19 pandemics in a large brazilian city: a comprehensive analysis. Global Heart, v. 17, n. 1, artigo e11, 2022. Disponível em: <https://globalheartjournal.com/article/10.5334/gh.1101/>. Acesso em: 11 out. 2022. 2211-8179 ark:/61566/0013000009zvw |
url |
http://www.repositorio.ufop.br/jspui/handle/123456789/16799 https://doi.org/10.5334/gh.1101 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
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reponame:Repositório Institucional da UFOP instname:Universidade Federal de Ouro Preto (UFOP) instacron:UFOP |
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Universidade Federal de Ouro Preto (UFOP) |
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UFOP |
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UFOP |
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Repositório Institucional da UFOP |
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Repositório Institucional da UFOP |
repository.name.fl_str_mv |
Repositório Institucional da UFOP - Universidade Federal de Ouro Preto (UFOP) |
repository.mail.fl_str_mv |
repositorio@ufop.edu.br |
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